Published online before print April 23, 2004
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* Department of Applied Pharmacology, FarManguinhos, Fundação Oswaldo Cruz (FIOCRUZ), Rio de Janeiro, Brazil; and
Department of Pharmacology, CCB, Universidade Federal de Santa Catarina, Florianópolis, Brazil
1Correspondence: Departamento de Farmacologia Aplicada, Instituto de Tecnologia em Fármacos, FarmanguinhosFundação Oswaldo Cruz, Rua Sizenando Nabuco, 100, Rio de Janeiro cep 21041-250, Brasil. E-mail: gracahen{at}far.fiocruz.br
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T lymphocytes, cells that are important for granulocyte recruitment in this model. Blockade of ETA receptors did not influence the expression of adhesion molecules (CD11b, CD49d) on granulocytes but abrogated the increase in tumor necrosis factor
levels 4 h after LPS stimulation and also markedly inhibited increases in levels of interleukin-6 and keratinocyte-derived chemokine/CXC chemokine ligand 1 but not eotaxin/chemokine ligand 11. Thus, acting via ETA receptors, endogenous endothelins play an important role in early cytokine/chemokine production and on granulocyte and lymphocyte mobilization in LPS-induced pleurisy.
Key Words: eosinophil neutrophil lung inflammation 
T cell cytokine chemokine
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Some evidences suggest a participation of endothelins in allergic inflammation. Endothelin levels are increased in the plasma and bronchoalveolar lavage fluid of sensitized animals challenged with antigen [3 , 4 ]. The antagonism of endothelin ETA receptors inhibits eosinophil recruitment in allergic models of lung inflammation [4 5 6 ], and the blockade of ETA/ETB receptors inhibits hyper-responsiveness in mice [7 ] and antigen-induced, nociceptive responses in mice [8 ]. In addition, in an allergic pleurisy model, endogenous endothelins participate in lymphocyte accumulation and interleukin (IL)-5 production via ETA receptors [5 ]. Moreover, endothelin-1 stimulation leads to a neutrophil and lymphocyte influx into the pleural cavity, and this phenomena is dependent of ETA receptor activation [6 ].
Endothelin peptides also seem to participate in inflammation triggered by bacterial endotoxins (for review, see ref. [9
]). Thus, elevated levels of endothelins in plasma were described in animals injected with endotoxin [10
, 11
] and also in patients with septic shock [12
, 13
]. Increased endothelin plasma levels are also correlated with increased plasma tumor necrosis factor
(TNF-
) levels and severity of sepsis, suggesting a role for these peptides in the pathophysiology of this disorder [14
, 15
]. Lungs isolated from rabbits stimulated with lipopolysaccharide (LPS) display increased endothelin-1 levels and edema [16
]. The fact that lung edema can be prevented by pretreatment with a selective ETA receptor antagonist, LU135252, suggests the vascular actions of endothelin-1 are important during pulmonary inflammation induced by LPS. Reinforcing these findings, we have described that treatment with another specific ETA receptor antagonist, BQ-123, inhibits the recruitment of neutrophils and eosinophils in LPS lung inflammation [6
].
In current study, we attempt to analyze the mechanism(s) underlying the contribution of endogenous endothelin to LPS-induced neutrophil and eosinophil recruitment into the pleural cavity of mice.
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All experiments were conducted in accordance with the ethical guidelines of the International Association for the Study of Pain [17 ] and approved by the Institutional Ethics Committee for Animal Care and Use (CEUA/FIOCRUZ License 0050/00).
Induction of pleurisy
Pleurisy was induced in mice as described by Henriques et al. [18
]. Briefly, an adapted needle was inserted into the right side of the thoracic cavity to enable intrathoracic (i.t.) administration of BQ-123 (150 pmol/cavity), A-127722 (150 pmol/cavity), or sterile saline. Five minutes after treatment, the animals were similarly injected with Escherichia coli endotoxin (LPS; 250 ng/cavity). Control animals received an equal volume (50 µL/cavity) of pyrogen-free sterile saline (NaCl 0.9%).
Animals were killed by CO2 inhalation, 4 or 24 h after the stimulation, and their thoracic cavities were opened and flushed with 1 mL RPMI 1640 (containing heparin 20 IU/mL for flow cytometry experiments) or phosphate-buffered saline (PBS; containing 1 mg/mL EDTA for chemokine/cytokine determinations). Total leukocyte counts were performed in an automated particle counter (Z1, Coulter, Miami, FL). Differential leukocyte counts were performed on cytospin smears stained by May-Grünwald Giemsa under light microscopy (100x).
For cytokine determinations, 700 µL of exudate was centrifuged, and cell-free lavage fluid was collected and stored at 70°C until use. For flow cytometric analysis, recovered cells were pooled and processed as described below.
Pleural macrophage culture
Animals were killed by CO2 inhalation, and their thoracic cavities were opened and flushed with 1 mL sterile RPMI 1640 (containing heparin 20 IU/mL). Recovered cells were washed and suspended in RPMI 1640 containing 10% fetal bovine serum (FBS), 2 mM L-glutamine, 25 µg/ml gentamicin, 50 µM ß-mercaptoethanol, 1 mM pyruvate, and nonessential amino acids. Cells were then plated (2.5x105 cells/well) in a flat-bottom 96-well plate, cultured for 1 h in a controlled atmosphere (CO2 5% at 37°C), nonadherent cells were washed by gentle flushing with RPMI 1640, and adherent macrophages were stimulated for 4 h or 24 h with LPS (30 ng/ml) in the presence or not of BQ-123 (10 µM; ref. [19
]), A-127722 (10 nM; ref. [20
]), or dexamethasone (50 nM). After stimulation, the plate was centrifuged (1500 rpm, 10 min), and cell-free supernatant was collected and stored at 70°C until use for cytokine/chemokine determinations.
Immunofluorescent staining and flow cytometric analysis
Samples of 106 cells, obtained from pooled, pleural washes (n=10/pool), were suspended and incubated in PBS containing 0.1% sodium azide, 10% rat serum (PBS-S), and Fc receptor for immunoglobulin G (IgG) II block monoclonal antibody (mAb; CD16/CD32) for 30 min at 4°C to avoid unspecific background staining. After the blocking step, cells were labeled with the appropriate concentration of fluorescein isothiocyanate (FITC)-conjugated mAb (CD11b, CD49d), diluted in PBS-S for another 30 min at 4°C. After labeling, cells were washed and suspended for data acquisition in a FACScalibur flow cytometer (Becton Dickinson, San Jose, CA). Forward- and side-scatters (FSC and SSC, respectively) were set to exclude erythrocytes and dead cells, and at least 104 cells were analyzed per sample. Granulocytes were gated based on the FSC/SSC distribution using CellQuestTM software (Becton Dickinson). Determination of positive and negative populations was performed based on the control staining with an irrelevant IgG isotype labeled with FITC.
Cytokine measurement
The TNF-
, keratinocyte-derived chemokine (KC)/CXC chemokine ligand 1 (CXCL1), eotaxin/chemokine ligand 11 (CCL11), IL-6, and IL-12 levels in pleural lavage fluid or culture supernatant were measured by capture enzyme-linked immunosorbent assay (ELISA) using antibodies from R&D Systems (Minneapolis, MN). Cytokine levels were determined based on a standard curve, obtained using recombinant cytokine.
Materials
Antibodies were purchased from PharMingen (San Diego, CA) or R&D Systems. BQ-123 [cyclo(DTrp-DAsp-Pro-DVal-Leu)] was purchased from American Peptide Co. (Sunnyvale, CA). FBS (Clone I) was purchased from HyClone (Logan, UT). E. coli LPS (sorotype 055-B5) and all other best-grade reagents were purchased from Sigma Chemical Co. (St. Louis, MO). A-127722 (2R*,3R*,4S*)-1-(N,N-dibutylacetamido)-4-(1,3-benzodioxol-5-yl)-2-(4-methoxyphenyl)pyrrolidine-3-carboxylic acid was kindly provided by Dr. Terry J. Opgenorth (Abbott Laboratories, Abbott Park, IL).
Statistical analysis
Results are presented as mean ± SEM and were statistically evaluated by one-way ANOVA followed by the Students-Newman-Keuls t-test. The significance level was set at P
0.05.
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![]() View larger version (19K): [in a new window] |
Figure 1. Effect of treatment with the selective endothelin ETA receptor antagonist (BQ-123) on leukocyte accumulation into the mice pleural cavity at 24 h after LPS i.t. stimulation. BQ-123 (150 pmol/cavity) or vehicle was administered in situ 5 min before LPS (250 ng/cavity). Panels indicate total leukocyte (A), mononuclear cell (B), neutrophil (C), and eosinophil counts (D). Each column represents the mean ± SEM of at least seven animals. *, +, P 0.05, when compared with saline-saline (SAL; open bars) and saline-treated, LPS-injected (solid bars) groups, respectively.
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View this table: [in a new window] |
Table 1. Influence of Treatment with the Selective Endothelin ETA Receptor Antagonist A-127722 (150 pmol/Cavity, 5 min Beforehand) on Leukocyte Accumulation into the Mouse Pleural Cavity Induced by i.t. Injection of LPS
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+ T cells (Fig. 2B)
.
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Figure 2. Effect of the selective endothelin ETA receptor antagonist BQ-123 on lymphocyte accumulation into the mouse pleural cavity induced by LPS (250 ng/cavity). Cells were acquired and analyzed as described in Materials and Methods. Values are mean ± SEM of four independent experiments. *, +, P < 0.05, when compared with saline-saline (open bars) and saline-treated, LPS-injected (solid bars) groups, respectively.
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+ T cell numbers (from 1.65±0.50 to 1.42±0.098x104/cavity in BQ-123-treated animals; Fig. 2B ).
Effect of in vivo BQ-123 treatment on adhesion molecule expression on lymphocytes and granulocytes recruited by LPS
We next analyzed the effect of endothelin ETA receptor blockade on expression of adhesion molecules on granulocytes. As illustrated in Figure 3A
, analyses of CD11b expression on saline granulocytes revealed a variable degree of CD11b expression in these cells (Fig. 3E)
; however, the majority of LPS-recruited granulocytes demonstrated a high degree of CD11b expression (Fig. 3F)
. Prior treatment with BQ-123 failed to influence the change in profile of granulocyte CD11b expression induced by LPS (Fig. 3G)
. The few granulocytes recovered from saline-injected animals showed a low degree of CD49d expression, discounting the background staining. In LPS-injected animals, despite the higher number granulocytes, the degree of CD49d expression was not increased in these cells relative to that detected in the control group (Fig. 3B)
. Moreover, in vivo treatment with BQ-123 failed to change the profile of CD49d expression on granulocytes recruited by LPS stimulation (Fig. 3C)
.
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Figure 3. Analysis of the expression of adhesion molecules CD11b and CD49d by granulocytes recovered from mouse pleural cavities challenged with saline (SAL) or with LPS alone or plus the selective endothelin ETA receptor antagonist BQ-123 (150 pmol/cavity). Granulocytes were analyzed by flow cytometry as described in Materials and Methods. Histogram overlay shows the expression of adhesion molecules in saline (dotted line), LPS (solid line), or LPS + BQ-123 (dash-dotted line) groups.
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Figure 4. Effects of selective endothelin ETA receptor antagonists BQ-123 and A-127722 on KC/CXCL1 and IL-6 production by pleural macrophages after LPS in vitro stimulation. Macrophages were recovered and stimulated with LPS in the presence or not of the ETA receptor antagonists or dexamethasone (Dexa), and the supernatant was harvested at 4 or 24 h and processed for ELISA as described in Materials and Methods. *, +, P < 0.05, when compared with medium (open bars) and LPS-stimulated, untreated groups (solid bars), respectively.
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levels in pleural lavage fluid at 4 h but not at 24 h. This increase in TNF-
levels at 4 h was abolished by prior in situ treatment with BQ-123 (Fig. 5
). In accordance with the increase of TNF-
at 4 h, we analyzed the effect of BQ-123 on cytokine and chemokine levels at 4 h. LPS stimulation also induced elevations of KC/CXCL1 and IL-6 levels in the pleural lavage fluid 4 h after injection, which were attenuated substantially by BQ-123 (Fig. 6
). However, although LPS also raised eotaxin/CCL11 levels, this effect was not influenced by pretreatment with the ETA antagonist. Finally, LPS (with or without BQ-123) did not change IL-12 levels in the pleural lavage fluid.
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Figure 5. Effects of selective endothelin ETA receptor antagonist BQ-123 on TNF- levels in LPS inflammation. Pleural lavage fluid was harvested from mice and processed for ELISA as described in Materials and Methods. *, +, P < 0.05, when compared with saline-saline (SAL; open bars) and saline-treated, LPS-injected (solid bars) groups, respectively.
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Figure 6. Effects of the selective endothelin ETA receptor antagonist BQ-123 on KC/CXCL1, IL-6, IL-12, and eotaxin/CCL11 levels in LPS inflammation. Pleural lavage fluid was harvested from mice and processed for ELISA as described in Materials and Methods. *, +, P < 0.05, when compared with saline-saline (open bars) and saline-treated, LPS-injected (solid bars) groups, respectively.
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, IL-6, and KC/CXCL1 levels in LPS lung inflammation. Several studies have implicated endothelin peptides with different aspects of inflammatory reactions [1 , 9 ], but there are few existing reports concerning the role of these peptides on leukocyte recruitment. Most of such studies have detected the participation of endothelins in neutrophil, eosinophil, and macrophage accumulation triggered by antigen [4 5 6 , 21 ]. We also demonstrated that the blockade of endogenous endothelins inhibits not only allergic eosinophilia but also leukocyte accumulation triggered by i.t. LPS stimulation [6 ]. The eosinophil and neutrophil accumulation induced by i.t. stimulation with LPS is also sensitive to inhibition by bosentan (a dual ETA/ETB receptor antagonist) or by BQ-123 (a selective ETA receptor antagonist), whereas selective blockade of ETB receptors (using BQ-788) is ineffective [6 ]. Moreover, although LPS challenge alone (or following bosentan injection) fails to increase pleural mononuclear cells numbers, treatment with BQ-123 or BQ-788 before LPS leads to significant increases and decreases in mononuclear cell counts, respectively. The current study extends those findings by showing that another chemically unrelated (nonpeptidic) and highly selective ETA receptor antagonist A-127722 [20 ] inhibited LPS-induced eosinophil and neutrophil recruitment in the same pattern of BQ-123 and bosentan [6 ]. Additional evidences for the participation of endothelins on leukocyte mobilization are given by the demonstration that i.t. stimulation with exogenous endothelin-1 leads to a neutrophil recruitment at 4 h with a concomitant influx of CD3+ lymphocytes [5 ].
In the allergic pleurisy model, the inhibition of eosinophil accumulation afforded by BQ-123 treatment seems to be a result of an impairment of CD4+ T lymphocyte recruitment. These effects of the ETA receptor antagonist were concomitant with a decrease of IL-5 levels in plasma and pleural wash fluid [6
]. The CD4 T cells play a pivotal role in allergic disorders by the secretion of cytokines such as IL-5, which in combination with eotaxin/CCL11, accounts for eosinophil activation and mobilization into tissues and organs [22
23
24
25
]. Conversely, eosinophil accumulation in LPS-induced pleurisy is highly dependent on 
T cells and macrophages but not on CD4 or CD8 T lymphocytes [26
]. It is interesting that we observed in the current study that inhibition of eosinophilia after BQ-123 treatment was not accompanied by any inhibition in 
+ T cells, although the numbers of CD4 and CD8 T cells were significantly decreased. Moreover, we observed an inhibition of in vitro IL-6 production by LPS-stimulated pleural macrophages after ETA receptor antagonism by BQ-123 or A-127722 in vitro, suggesting an autocrine effect of these peptides in cytokine/chemokine production by these cells. This suggestion is supported by our in vivo findings demonstrating the modulation of cytokine/chemokine production in LPS inflammation after ETA receptor antagonism. Several studies [19
, 27
28
29
30
] have demonstrated the modulation of macrophage/monocyte activity by endothelins as well as the capacity of these cells to produce endothelin-1.
The fact that BQ-123 blocked LPS-induced increases in pleural levels of TNF-
and KC/CXCL1 at 4 h could in part account for the granulocyte inhibition triggered by BQ-123 treatment at 24 h. Indeed, it is noteworthy that eosinophil influx in LPS-induced pleurisy occurs via a CCR3-dependent mechanism but is independent of regulated on activated, normal T expressed and secreted and eotaxin/CCL11, and it was also described that eosinophil accumulation in this model is mediated by an unidentified, soluble, heat-stable protein, which seems to be produced by macrophages [31
, 32
]. In the current study, we observed that BQ-123 failed to affect the increased eotaxin/CCL11 levels triggered by LPS, suggesting that BQ-123 could prevent the production of this unknown, unidentified, soluble, heat-stable protein. Allied to prior evidence that endothelin-1 stimulates IL-6 production in isolated human monocytes [33
], our demonstrations that BQ-123 and A-127722 substantially reduced the production of IL-6 (but not of KC/CXCL1) by LPS-stimulated pleural macrophages in vitro and that the former ETA receptor antagonist also inhibited the enhancement of pleural IL-6 levels by LPS add further strength to this view. It is important, however, that dexamethasone provided far greater suppression of macrophage IL-6 production triggered by LPS in vitro than either ETA receptor antagonist and was also effective in reducing KC/CXCL1 production by isolated cells, whereas BQ-123 only affected KC/CXCL1 levels in the in vivo setting. Such findings clearly indicate that additional endothelin-independent mechanisms also contribute significantly to LPS-induced inflammation in this model and that the participation of endothelins in the promotion of granulocyte accumulation in this process cannot be circumscribed to actions on macrophages alone.
We also investigated the effect of BQ-123 on the expression of adhesion molecules and activation markers on leukocytes recruited by LPS. We did not observe any significant changes in the expression of CD49d, CD62L, CD69, or CD25 (IL-2R) on CD3+ cells collected from LPS-injected animals when compared with saline or BQ-123-treated animals (data not shown). Although the roles of CD49d and CD62L in lymphocyte migration is well established, our results suggest that these molecules are not involved in the lymphocyte migration induced by LPS into mouse pleural cavity. Conversely, we observed an intense expression of CD49d and CD11b on granulocytes from LPS-injected animals. However, in cells from BQ-123-treated animals, it appears that endogenous endothelins do not modulate leukocyte expression of adhesion molecules. This view is also supported by experiments showing that in vitro stimulation with endothelin-1, endothelin-2, or endothelin-3 failed to modulate the expression of adhesion molecules (CD49d and CD62L) or activation markers (CD25 and CD69) on human or murine CD3+ cells (A. L. F. Sampaio and M. G. M. O. Henriques, unpublished observations). Nonetheless, considering that endothelins can up-regulate the expression of intercellular adhesion molecule-1, vascular cell adhesion molecule-1, and E-selectin in endothelial cells in vitro or ex vivo [34 35 36 ], it seems plausible to hypothesize that leukocyte mobilization triggered by LPS might involve ETA receptor-mediated changes in adhesion molecule expression in endothelial cells lining the pleural cavity rather than on the leukocytes themselves.
Previous studies have established a relationship between TNF-
and endothelin levels during severe sepsis [14
, 15
]. However, in a predominantly neutrophilic model of lung inflammation, intratracheal instillation of LPS in rats does not induce synthesis of endothelin-1, although a substantial increase in TNF-
levels and neutrophil numbers is observed, suggesting that endothelin-1 production is not related to neutrophilic airway inflammation induced by LPS [37
]. Conversely, our previous study [6
] has shown that endothelin peptides participate in leukocyte accumulation in pleural inflammation dominated by eosinophils or involving neutrophils and eosinophils but strongly depends on the time elapsed after stimulation and on the nature of the inflammatory stimulus. Although endothelins do not mediate the acute/early neutrophil accumulation seen during LPS or allergic inflammation, they effectively contribute to LPS-induced neutrophil migration at a time that coincides with eosinophil accumulation and lymphocyte activation [5
, 6
]. Herein, we reinforced these results and demonstrated that BQ-123 treatment abrogated the raise in KC/CXCL1 and TNF-
levels triggered by LPS at 4 h and inhibited lymphocyte and neutrophil accumulation at 24 h. Moreover, the inhibition of TNF-
and KC/CXCL1 production by BQ-123 pretreatment suggests that the raised levels of these factors at 4 h and acute neutrophilia are dissociated events.
In conclusion, our results demonstrate an important role for endogenous endothelins, mediated via stimulation of ETA receptors, on early cytokine/chemokine production and on granulocyte and lymphocyte mobilization during the later stages of LPS-induced pleurisy. If this murine model of pulmonary inflammation bares any predictive value to the clinical situation, the present findings suggest that selective ETA receptor antagonists might be useful for the treatment of inflammatory lung diseases in humans.
Received October 24, 2003; revised February 20, 2004; accepted March 22, 2004.
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